Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Presbyterian Ministries of Texas, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1043356009

Evergreen Presbyterian Ministries of Texas, Inc is an Intellectual Disabilities Intermediate Care Facility in Texarkana, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1302 Wood St
Texarkana, TX 75501-4472
Phone: (903) 794-0517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 118062 (TX)

Record details

NPI number1043356009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Buchholtz — President · (318) 949-5500
Other names Evergreen Danville Road Community Home
NPI enumeratedJanuary 29, 2007
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024
Mailing address2101 Highway 80, Haughton, LA 71037-9488

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